• Nurse Manager II - ICU

    Texas Health Resources (Plano, TX)
    …cardiology, neurosurgery and spine care, orthopedics, women's services, adult and adolescent behavioral health , and critical care. Our hospital also provides ... for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health ...this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize… more
    Texas Health Resources (10/15/25)
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  • Associate Architect - Oracle PaaS Administrator

    Highmark Health (Austin, TX)
    …effective application of appropriate design standards, methods, and tools. + Review application designs to ensure optimal technology selection, efficient resource ... utilization , and seamless system integration. + Ensure system architecture...automation scripts (Shell, Python) for streamlining tasks, ensuring peer review and version control. + Maintain comprehensive technical documentation,… more
    Highmark Health (12/02/25)
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  • Licensed Vocational Nurse (CLC-B) - Edrp Approved

    Veterans Affairs, Veterans Health Administration (Amarillo, TX)
    …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This vacancy will remain open until ... be referred as needed. Total Rewards of a Allied Health Professional The primary purpose of the Licensed Practical/License...understanding of the long sheet and importance of daily utilization of the form; Working knowledge of shower/tub room… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • Assessment Referral Specialist

    HCA Healthcare (San Antonio, TX)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... appropriate level of care. They respond to calls related to accessing behavioral health services including requests for information, inquiries regarding clinical… more
    HCA Healthcare (12/10/25)
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  • Insurance Verification Specialist - Days - Hybrid

    Baylor Scott & White Health (Dallas, TX)
    …needs. Calculates accurate patient financial responsibility. Communicates timely with Utilization Review , and collaborates effectively with physician and ... to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death… more
    Baylor Scott & White Health (12/10/25)
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  • Advanced Clinical Pharmacist

    HCA Healthcare (San Antonio, TX)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... and actively participating in daily multidisciplinary and bedside rounds, completing drug utilization review to promote rational drug therapy, leading and… more
    HCA Healthcare (12/05/25)
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  • PCO Medical Director - UM - Part Time (Hourly)

    CenterWell (Austin, TX)
    …Director of Physician Strategy at Utilization Management. The Medical Director conducts Utilization review of the care received by members in an assigned ... review organization, such as Medicare Advantage,managedMedicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or… more
    CenterWell (11/06/25)
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  • PRN UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
    San Antonio Behavioral Health (11/26/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (El Paso, TX)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
    HCA Healthcare (11/14/25)
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  • Associate Medical Director-Dallas

    CenterWell (Fort Worth, TX)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in… more
    CenterWell (12/03/25)
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